Young men and women all want to experience the movie blockbuster close-ups of the hearty sexual scenes, dreaming and sighing that it is the moon that causes the trouble. “The money is arbitrary, anytime, anywhere, as you wish, love. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. Western medicine to treat the symptoms, Chinese medicine to treat the root. In the western medicine to solve the urgent problem of “Mr. One Minute” based on the key aspects of premature ejaculation: glans sensitivity, the brain can not control ejaculation, Chinese medicine believes that the heart fire delusion floating in the upper, kidney deficiency in the lower and use the kidney to regulate the heart treatment. One is not premature ejaculation Many people expect too much from the quality of their sex life and doubt that they have premature ejaculation, or even define themselves as premature ejaculation patients. In fact, the delineation identified as premature ejaculation has really been questioned greatly for decades. Three common factors are included in all definitions of premature ejaculation, very short ejaculation time, inability to control ejaculation time by oneself, presence of great psychological stress and communication difficulties (from short ejaculation time). The current definition of primary premature ejaculation: ejaculation often or always occurs around 1 minute after vaginal penetration; there is no ability to prolong ejaculation for most or every vaginal penetration; there are negative consequences such as annoyance, distress, frustration or/and avoidance of sexual intimacy. That is, short sexual intercourse (ejaculation before entry, ejaculation in 30 seconds, ejaculation in 1-2 minutes) can be diagnosed as premature ejaculation. II Causes of premature ejaculation The causes of biological factors include glans sensitivity, high sensitivity of pubic nerves, dysregulation of 5-hydroxytryptaminergic neurotransmission in the nerve center of the brain, erectile difficulties, and prostatitis. III Western pharmacological treatment of premature ejaculation 1 The use of local penile anesthetics to reduce sensitivity to the glans penis is probably the earliest known treatment for premature ejaculation. 2 Drugs that act on the central nervous system of the brain (SSRIs): dapoxetine, paroxetine, sertraline, fluoxetine, clomipramine. These drugs were first used to treat mental anxiety type disorders. It is worth mentioning that the short-acting class of drugs for premature ejaculation: dapoxetine, taken on demand, is effective today, and is effective when taken 3 hours before intercourse, but the prolongation of sexual life is about 3 minutes like this. The long-acting class of drugs is paroxetine, to take 5 days later slowly take effect, 1 tablet every night, 30 days such a course of treatment, sex life extended time can reach 5-8 minutes oh. The first thing you need to do is to take a look at the actual website. Chen Shiduo in the “identification of the evidence of the record – yin and Yang off the door” on the “heart and kidney do not cross the evidence” to propose the main treatment of slippery sperm; the original book said “heard the sound of women’s lust sperm that is born, this heart water and fire deficiency and move, and the kidney water and fire with the movement of the king of the heart and leaking out”. “This kind of non-intercourse between the heart and kidney is caused by the weakening of the water and fire in the heart and kidney. The main method of treatment is to make up for the water and fire of the heart and kidneys with the help of a decoction of 3g of Huang Lian, 6g of Cinnamon, 15g of Calcined Dragon Bone, 15g of Radix Codonopsis, 15g of Astragalus, 10g of Radix Angelicae Sinensis, 15g of Mai Men Dong, 15g of Phellodendron, 20g of Shu Di Huang and 10g of Cornus. The most commonly used behavioral treatments for premature ejaculation are the squeeze and stop-and-go alternation techniques, both of which are used to instruct men about the moderate intensity range of sexual stimulation. Through a series of practice steps of masturbatory stimulation, partner-assisted masturbatory stimulation, resting intercourse, and stop-and-go intercourse, men gain an awareness of moderate intensity sexual pleasure. In short, it means to pull out before wanting to ejaculate, change positions and continue. Six surgery: dorsal nerve block This treatment is so controversial that most tertiary hospitals in the country do not carry out this program, and surgery is the last resort in case medication does not work. It is very disturbing to know how many sensitive nerves should be cut off during surgery. The first thing you need to do is to get rid of the numbness and fire in your glans, and you won’t even know that you have erectile dysfunction. What’s more, the long-term efficacy of this surgical treatment is uncertain: the National Conference on Male Medicine has asked the surgeon questions, and the patient after dorsal nerve blocking can not find a patient who has been operated for more than 2 years and still has efficacy. Seven personal experience of the combination of Chinese and Western medicine ( prolongation of time + control of self-control + action) prolongation of time: commonly used Western medicine dapoxetine (temporary, no fixed sexual partner, recommended), paroxetine (stable male and female friends, married, recommended) to prolong the ejaculation time; + control of self-control: Chinese medicine to supplement the kidneys and regulate the heart, commonly used compound Xuanju capsule or Jiaotzu Tang (mainly to improve the hardness of the erection, there is hardness to have time to speak of, Psychological support role); + action: behavioral therapy, want to ejaculate before, change the position.